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Factors related to postmenopausal muscle performance: a cross-sectional population-based study

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Abstract

The aim of the present study was to investigate cross-sectionally the association of postmenopausal muscle strength with simple performance tests. A random sample of 1,166 naturally postmenopausal women (born 1932–1941) was selected from the Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) study cohort. Grip and quadriceps strength were measured with strain gauge dynamometers and reported in both absolute values (KPa and kg) and per kilogram of body mass (N cm−2 kg−1 and N kg−1). In addition, two performance tests, ‘ability to stand on one foot’ and ‘ability to squat down to touch the floor’ were carried out. A five-category self-assessment of overall health (‘very good’, ‘good’, ‘moderate’, ‘bad’, and ‘very bad’) was obtained by postal questionnaire. The women that were able to stand on one foot and able to squat down to touch the floor had greater grip and quadriceps strength than their counterparts (P<0.001 and P<0.03 in ANOVA, respectively). In addition, self-assessed health had a strong positive association with muscle strength in the grip and leg extensor muscles in ANOVA (P<0.001 between ‘very good’ and ‘moderate’ or poorer state of health) and regression model (P<0.001). Adjustment for age, duration of menopause, body mass, height, physical activity level, use of HRT, and number of diseases and medications did not change any of the main effects. Also, there were no differences in results between absolute measurement values and values reported per kilogram of body mass. According to the present study, a simple performance test may be useful in the prediction of postmenopausal muscle strength. Furthermore, self-assessed state of health is strongly associated with muscle strength in postmenopausal women.

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References

  • Bruce SA, Philips SK, Woledge RC (1997) Interpreting the relation between force and cross-sectional area in human muscle. Med Sci Sports Exerc 29:677–683

    CAS  PubMed  Google Scholar 

  • Carmeli E, Patish H, Coleman R (2003) The aging hand. J Gerontol A Biol Med Sci 58:146–152

    Google Scholar 

  • Carter ND, Khan KM, McKay HA, Petit MA et al. (2002) Community based exercise program reduces risk factors for falls in 65- to 75-year-old women with osteoporosis: Randomized controlled trial. Can Med Assoc J 167:997–1004

    Google Scholar 

  • Era P, Lyyra AL, Viitasalo JT, Heikkinen E (1992) Determinants of isometric muscle strength in men of different ages. Eur J Appl Physiol Occup Physiol 64:84–91

    CAS  PubMed  Google Scholar 

  • Era P, Rantanen T, Avlund K, Gause-Nilsson I, Heikkinen E, Schroll M, Steen B, Suominen H (1994) Maximal isometric muscle strength and anthropometry in 75-year-old men and women in three Nordic localities. Scand J Med Sci Sports 4:26–31

    Google Scholar 

  • Frontera WR, Hughes VA, Dallal GE, Evans WJ. (1993) Reliability of isokinetic muscle strength testing in 45- to 78-year-old men and women. Arch Phys Med Rehabil 74:1181–1185

    CAS  PubMed  Google Scholar 

  • Häkkinen A, Sokka T, Lietsalmi A, Kautiainen H, Hannonen (2003) Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent-onset rheumatoid arthritis. Arthritis Care Res 49:71–77

    Google Scholar 

  • Heikkinen J, Kyllönen E, Kurttila-Matero E, Wilen-Rosenquist G, Lankinen K, Rita H, Väänänen H (1997) HRT and exercise: Effects on bone density, muscle strength and lipid metabolism. A placebo controlled 2-year prospective trial on two estrogen progestin regimens in healthy postmenopausal women. Maturitas 26:139–149

    Article  CAS  PubMed  Google Scholar 

  • Honkanen R, Tuppurainen M, Alhava E, Saarikoski S (1991) Kuopio Osteoporosis Risk Factor and Prevention Study. Baseline postal inquiry in 1989. Publications of the University of Kuopio, Community Health, Statistics and Reviews 3/1991; Kuopio, Finland

  • Leinonen R, Heikkinen E, Jylha M (1999) A path analysis model of self-rated health among older people. Aging 11:209–220

    CAS  PubMed  Google Scholar 

  • Lindsay R (1992) The growing problem of osteoporosis. Osteoporosis Int 2:267–268

    CAS  Google Scholar 

  • Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A (2002) Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci 57:M539–M543

    PubMed  Google Scholar 

  • Melton LJ III (1993) Hip Fractures: A worldwide problem today and tomorrow. Bone 14:S1–S8

    Article  Google Scholar 

  • Rantanen T, Avlund K, Suominen H, Achroll M, Frandin K, Pertti E (2002) Muscle strength as a predictor of ADL dependence in people aged 75 years. Aging Clin Res 14[Suppl 3]:10–15

    Google Scholar 

  • Samson MM, Meeuwsen IB, Crowe A, Dessens JA, Duursma SA, Veerhaar HJ (2000) Relationships between physical performance measures, age, height and body weight in healthy adults. Age Aging 29:235–242

    Article  CAS  Google Scholar 

  • Seeley DG, Cauley JA, Grady D, Browner WS, Nevitt MC, Cummings SR (1995) Is postmenopausal estrogen therapy associated with neuromuscular function or falling in elderly women ? Study of Osteoporotic Fractures Research Group. Arch Intern Med 155:293–299

    Article  CAS  PubMed  Google Scholar 

  • Stucki G, Bruhlmann P, Stucki S, Michel BA (1998) Isometric muscle strength is an indicator of self-reported physical functional disability in patients with rheumatoid arthritis. Br J Rheumatol 37:643–648

    Article  CAS  PubMed  Google Scholar 

  • Uusi-Rasi K, Sievanen H, Vuori I, Heinonen A, Kannus P, Pasanen M, Rinne M, Oja P (1999) Long-term recreational gymnastics, estrogen use and selected risk factors for osteoporotic fractures. J Bone Miner Res 14:1231–1238

    CAS  PubMed  Google Scholar 

  • Visser M, Deeg DJ, Lips P, Harris TB, Bouter LM (2000) Skeletal muscle mass and muscle strength in relation to lower-extremity performance in older men and women. J Am Geriatr Soc 48:381–386

    CAS  PubMed  Google Scholar 

  • WHO Scientific Group (1996) Research on the menopause in the 1990’s. A report of the WHO Scientific Group. World Health Organisation, Geneva, Switzerland, vol 866, pp 1–79

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Acknowledgements

This study was financially supported by Miina Sillanpää Foundation and Emil Aaltonen Foundation.

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Correspondence to Joonas Sirola.

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Sirola, J., Rikkonen, T., Kröger, H. et al. Factors related to postmenopausal muscle performance: a cross-sectional population-based study. Eur J Appl Physiol 93, 102–107 (2004). https://doi.org/10.1007/s00421-004-1173-7

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